Jack A Teitsma, PSYD in League City, TX - Medicare Psychologist Provider

Jack A Teitsma, PSYD is a medicare enrolled "Psychologist - Clinical" provider in League City, Texas. His current practice location is 1616 Ponte Leone Ln, League City, Texas. You can reach out to his office (for appointments etc.) via phone at (630) 386-5106.

Jack A Teitsma is licensed to practice in Texas (license number 34453) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831327196.

Contact Information

	Jack A Teitsma, PSYD
	1616 Ponte Leone Ln, League City, TX 77573-5067
	(630) 386-5106
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jack A Teitsma
Gender	Male
Speciality	Psychologist - Clinical
Location	1616 Ponte Leone Ln, League City, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831327196
Provider Enumeration Date: 06/25/2009
Last Update Date: 12/11/2011

Medicare PECOS Information:

PECOS PAC ID: 7618137894
Enrollment ID: I20120326000470

Medical Identifiers

Medical identifiers for Jack A Teitsma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831327196	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	34453 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jack A Teitsma allows following entities to bill medicare on his behalf.

Entity Name	Deer Oaks Geriatric Services P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134169287 PECOS PAC ID: 9234034075 Enrollment ID: O20031204000440

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack A Teitsma is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jack A Teitsma, PSYD 1616 Ponte Leone Ln, League City, TX 77573-5067 Ph: (630) 386-5106	Jack A Teitsma, PSYD 1616 Ponte Leone Ln, League City, TX 77573-5067 Ph: (630) 386-5106

Reviews and Comments

Psychologist in League City, TX

Dr. Elil Yuvarajan, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 216 N Michigan Ave, League City, TX 77573 Phone: 281-332-5100
Dr. Cynthia A Cook, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 216 N Michigan Ave, League City, TX 77573 Phone: 281-332-5100
Dr. Dedra Deann Frazier, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 216 N Michigan Ave, League City, TX 77573 Phone: 281-332-5100
Julia Poritz, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2240 Gulf Fwy S, League City, TX 77573 Phone: 832-505-3057
Dr. Darrell Duane Turner, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 419 Primrose Ln, League City, TX 77573 Phone: 713-435-9864 Fax: 281-557-4737
Dr. Michael Brandon, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 620 West Main, Suite 1, League City, TX 77573 Phone: 231-338-2992
Victor Nolan Hirsch, PH D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1025 E Main St, Suite 100, League City, TX 77573 Phone: 281-332-3852 Fax: 281-332-3852

Jack A Teitsma, PSYD - Medicare Psychologist in League City, TX